The Commonwealth of Massachusetts
NPI 1275680456ActiveOrganization· Psychiatry & Neurology, Psychiatry· Worcester, MA
Psychiatry & Neurology, Psychiatry in Worcester, Massachusetts, registered in NPPES in January 2007. The authorized official on file is Kathy Wenzel, Chief Executive Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275680456 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 3, 2007 |
| Last updated in NPPES | Apr 21, 2023 |
| Certified by provider | Apr 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | — | — |
| Psychologist | 103T00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
| Clinical Nurse Specialist | 364S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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